HomeMy WebLinkAbout726 fmc permitBILLING & PERMIT STATEMENT
B Ak7E R S F 'I AL D
PERMIT # FIRE
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BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phnna• AA1 - 17ti -'4U7Q . Fax• AA1 -Rr,7 -7171
Please make checks payable to CITY OF BAKERSFIELD. NO CASH Please. Thank you.
., FEE CALCULATION TOTAL
DUE
❑ Alarm - New & Modification (minimum charge) FA $ 288
•
ONLY
ACCT NO
SITE INFORMATION
Over 10,000 sq ft
LOCATION OF PROJECT
PROPERTY OWNER
Lucky 7 #3
❑
STARTING DATE COMPLETION DATE
NAME
PROJECT NAME
ADDRESS
PHONE #
PROJECT ADDRESS 726 Union Ave.
CITY STATE CA
ZIP CODE
CONTRACTOR INFORMATION
Over 10,000 sq ft
$ 0 .028 x sq ft
CONTRACTOR NAME
CA LICENSE #
TYPE OF LICENSE EXPIRATION DATE
PHONE #
Bruce W. Hinsley
1 971259
C61 /D40 3/31/2018
661 - 706 -4321
CONTRACTOR COMPANY NAME
Advanced Compliance
FAX #
661- 589 -9329
ADDRESS
CITY
ZIP CODE
3704 Liftlefalls Ct.
Bakersfield
93312
Please make checks payable to CITY OF BAKERSFIELD. NO CASH Please. Thank you.
., FEE CALCULATION TOTAL
DUE
❑ Alarm - New & Modification (minimum charge) FA $ 288
•
ONLY
ACCT NO
❑
Over 10,000 sq ft
$ 0 .028 x sq ft
❑
Alarm - Minor Modification (Add 1 device /Relocation of 2 devices)
$ 98 /hr (2 hrs minimum) = $196
84
❑
Sprinkler - New & Modification (minimum charge) FIRE
$ 288
❑
Over 10,000 sq ft
$ 0 .028 x sq ft
❑
Sprinkler - Minor Modification ( <10 heads)
$ 98 /hr (2 hrs minimum) = $196
84
❑
Commercial Hood (New & UL 300 Upgrade Modification) FHD
Additional Hood -
$ 241
$ 59 /hood
❑
Commercial Hood - Minor Modification (add /move nozzle)
$ 98 /hr (2 hrs minimum) = $196
84
•
Spray Booth (New & Modification) $B
$ 241
•
Aboveground Storage Tank (1 inspection per installation) AST
$ 185 /tank
❑
Additional Tank ATI
$ 98 /tank
•
Aboveground Storage Tank (Removal, Mod, or Inspection) ATR
$ 112 /tank
•
Underground Storage Tank (Installation /Inspection) NI
$ 900 /tank
•
Underground Storage Tank (Modification) MOD
$ 900 /site
v
•
Underground Storage Tank (Minor Modification) MTM
$ 171 /site
•
Underground Storage Tank (Removal) TR
$ 587 /tank
X
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $98 /hr for each type of test /per site /per UST system
even if scheduled at the same time TT
$ 98 /hr (2 hrs minimum) = $196
•
Oil well (Installation, Inspection, or re- inspection) X
$ 98 /hr
84
•
Tent TENT
$ 98 /hr
•
After -hours inspection fee
124/ hr 2 hrs minimum = 248
•
Pyrotechnic (1 permit per event, plus an inspection fee of
$98 /hr during business hours) PYRO
NOTE: After hours Pyrotechnic event inspection is @ $124/hr
$ 98 /hr + (5 hrs min standby fee /insp) _ $58
5 hrs min standby fee ins = 620
•
Re- inspection /Fallow -up Inspection
$ 98 /hr
84
•
Portable LPG (Propane): # of Cages?
$ 98 /hr
84
•
Explosive Storage
$ 241
84
•
Copying & File Research (File Research fee $51 /hr)
$ 0.02 /page
84
•
Miscellaneous Site Plan Review (Carnival & Fairs/Vehicle
IDisplay/Motion. Picture)
$ 98 /hr
84
FD2021 (Rev 7/16)
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
RANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO. I - - -.�
s $ R SFz o
P /Rjr
A it TRA IF
BAKERSFIELD FIRE DEPT.
Prevention Services
1501 Truxtun Ave., 1st Floor
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
SITE INFORMATION'
FACILITY Lucky 7 #3
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 726 S. Union Ave. Bakersfield,, Ca.
OWNERS NAME Same
OPERATORS NAME Same
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
87 UL
2
91 UL
3
Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance
Bruce W. Hinsley 661-706-4321
MAILING ADDRESS 3704 Littlefalis Ct. Bakersfield, Ca. 93312
Brad W. Hinsley 661-706 -4321
CERTIFICATION #: B46141
DATE & TIME TEST TO BE CONDUCTED
ICC #: 8373948
SIGNATURE OF APPLICANT
DATE 101612017
DATE
APPROVED BY
FD 2095 (Rev. 09/05)